NPIMap

Individual provider Active NPI

George Michael Ossman Dekornfeld, MD

  • Vascular Surgery Physician
  • Johnstown, PA
National Provider Identifier
1386175875
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD477368 Issued in PA
Practice address
1086 Franklin St Ste 3002
Johnstown, PA 15905-4305
Phone
(814) 534-9194
NPI assigned
Mar 25, 2017
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Student in an Organized Health Care Education/Training Program 390200000X MT214160 PA
Vascular Surgery Physician 2086S0129X MD477368 PA Primary

Addresses

Primary practice location

1086 Franklin St Ste 3002
Johnstown, PA 15905-4305

Mailing address

821 Redstone Dr
Allison Park, PA 15101-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811002421 PA Practitioner - Vascular Surgery 2163789256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Meharry Medical College School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1086 Franklin St M
Johnstown, PA 15905-4305
Phone (814) 534-9194

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Vascular Surgery CurrentSince Jul 1, 2022 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jul 1, 2022 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Past Accepting new patients

Locations

861 Hills Plz
Ste 120
Ebensburg, PA 15931
Phone (814) 475-6005

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1086 Franklin St
Bldg M
Johnstown, PA 15905
Phone (814) 534-9194

1086 Franklin St
Fl 3
Johnstown, PA 15905
Phone (814) 534-5585

1086 Franklin St
Ste 3002
Johnstown, PA 15905
Phone (814) 534-9194

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1291 N Center Ave
Ste 100
Somerset, PA 15501
Phone (814) 445-3535

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: gdekornfeld46205@direct.conemaugh.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1386175875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 REDSTONE DR",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151014240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST STE 3002",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKORNFELD",
        "first_name": "GEORGE MICHAEL",
        "middle_name": "OSSMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-25",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT214160",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD477368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.